[Federal Register Volume 84, Number 209 (Tuesday, October 29, 2019)]
[Notices]
[Pages 57876-57877]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-23572]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10631]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

ACTION: Notice.

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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (the PRA), federal agencies are required to publish notice 
in the Federal Register concerning each proposed collection of 
information (including each proposed extension or reinstatement of an 
existing collection of information) and to allow 60 days for public 
comment on the proposed action. Interested persons are invited to send 
comments regarding our burden estimates or any other aspect of this 
collection of information, including the necessity and utility of the 
proposed information collection for the proper performance of the 
agency's functions, the accuracy of the estimated burden, ways to 
enhance the quality, utility, and clarity of the information to be 
collected, and the use of automated collection techniques or other 
forms of information technology to minimize the information collection 
burden.

DATES: Comments must be received by December 30, 2019.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) that are accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number ____ , Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, you may make 
your request using one of following:
    1. Access CMS' website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION: 

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-10631 The PACE Organization Application Process in 42 CFR Part 460

    Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain 
approval from the Office of Management and Budget (OMB) for each 
collection of information they conduct or sponsor. The term 
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies 
to publish a 60-day notice in the Federal Register concerning each 
proposed collection of information, including each proposed extension 
or reinstatement of an existing collection of information, before 
submitting the collection to OMB for approval. To comply with this 
requirement, CMS is publishing this notice.

Information Collection

    1. Type of Information Collection Request: Revision with change of 
a currently approved collection; Title of Information Collection: The 
PACE Organization Application Process in 42 CFR part 460; Use: The 
Programs of All-Inclusive Care for the Elderly (PACE) consist of pre-
paid, capitated plans that provide comprehensive health care services 
to frail, older adults in the community who are eligible for nursing 
home care according to State standards. PACE organizations (PO) must 
provide all Medicare and Medicaid covered services; financing of this 
model is accomplished through prospective capitation of both Medicare 
and Medicaid payments. Upon approval of a PACE application, CMS 
executes a 3-way program agreement with the applicant entity and the 
applicable State Administering Agency (SAA). CMS regulations at 42 CFR 
460.98(b)(2) require a PO to provide PACE services in at least the PACE 
center, the home, and inpatient facilities. The PACE center is the 
focal point for the delivery of PACE services; the center is where the 
interdisciplinary team (IDT) is located, services are provided, and 
socialization occurs with staff that is consistent and familiar to 
participants.
    Collection of this information is mandated by statute under 
sections 1894(f) and 1934(f) of the Act and at 42 CFR part 460, subpart 
B, which addresses the PO application and waiver process. In general, 
PACE services are provided through a PO. An entity wishing to become a 
PO must submit an application to CMS that describes how the entity 
meets all the requirements in the PACE program. An entity's application 
must be accompanied by an assurance from the SAA of the State in which 
the PO is located.
    CMS recently issued a final PACE rule (CMS-4168-F), effective 
August 2, 2019, which updates and modernizes the PACE program. This 
final rule codifies CMS' existing practice of relying on automated 
review systems for processing initial applications to become a PACE 
organization and expansion applications for existing PACE 
organizations. In addition, the final rule will modify the PACE 
regulations to eliminate the need for PACE organizations to request 
waivers for a number of the most commonly waived provisions. This 
latter change is expected to reduce burden and improve efficiency for 
POs, state administering agencies, and CMS.
    In addition to codifying the current automated processes for the 
submission and review of both initial and service area expansion 
applications, this rule modifies existing regulatory provisions and 
requirements. As a result, certain attestations associated with the 
application are no longer applicable, and others need to be updated to 
reflect updated regulatory requirements. We are also making minor 
tweaks to certain document upload requirements for clarification 
purposes based on experience reviewing applications. Form Number: CMS-
10631 (OMB control number: 0938-1326); Frequency: Yearly; Affected 
Public: State, Local, or Tribal Governments; Number of Respondents: 72; 
Total Annual Responses: 109; Total Annual Hours:

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7,226. (For policy questions regarding this collection contact Debbie 
Vanhoven at 410-786-6625.)

    Dated: October 24, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-23572 Filed 10-28-19; 8:45 am]
 BILLING CODE 4120-01-P